IntroductionA decade has now passed since the first report describing human embryonic stem cells (hESCs) provided an important landmark in studies of stem cell biology. 1 Even that first report shows the potential to use hESCs to study hematopoiesis, because a figure of an hESC-derived teratoma showed bone elements surrounding immature hematopoietic cells. In the past decade, dozens of studies have now described the derivation of essentially all blood cell lineages from hESCs. The foundation for this work rests on decades of previous studies using mouse ESCs (mESCs) and other developmental models. 2,3 These approaches have facilitated our ability to translate basic biologic mechanisms to novel cellular therapies now routinely used for transfusions, hematopoietic cell transplantation, and cell-based immunotherapy.The more recent development of mouse and human induced pluripotent stem cells (iPSCs) also provide other key achievements in the stem cell field. [4][5][6][7][8][9][10] Briefly, iPSCs are produced by reprogramming somatic cells (eg, fibroblasts) by transfer of defined genes using viral or other vectors. 9,10 Initial studies by Yamanaka 4,7 used Oct4, Sox2, Klf4, and c-Myc to derive first mouse and then human iPSCs. Thomson and colleagues 8 found Oct4, Sox2, Nanog, and Lin28 could also produce human iPSCs. iPSCs can now be successfully produced with just 1 or 2 genes, and this gene expression can be done transiently rather than requiring stable genome integration. 9,[11][12][13][14][15][16][17] This premise is further advanced by derivation of iPSCs with the use of protein transduction of appropriate transcription factors. 18,19 In addition, it is possible to convert many different mature cell lineages (including hematopoietic cells) into iPSCs. [20][21][22] In an intriguing related study, transient expression of a limited number of genes can convert one mature cell population into another mature cell population without going through an iPSC intermediary, as shown for conversion of exocrine to endocrine pancreas. 23 iPSCs have essentially the same phenotype, gene expression pattern, and developmental potential as ESCs. Mouse iPSCs can form viable chimeras and contribute to germline cells when injected into mouse blastocytes. 5,24 This demonstration that an entire mouse can be derived from a single mouse iPSC is the most stringent test of pluripotency. Human iPSCs form teratomas with contributions of all 3 germ layers (endoderm, ectoderm, and mesoderm) and have been used to produce many differentiated cell lineages. [6][7][8]25 Human iPSCs may provide an optimal source of patient-specific pluripotent stem cells for derivation of hematopoietic cells (or other cells of interest) suitable for transplantation without concern for immunologic barriers. Recent studies have shown derivation of hematopoietic cells from iPSCs with the same characteristics as those derived from hESCs. 26 Although many questions about iPSCs remain, this technology has proven to be highly reproducible and rapidly evolving to be...